G Ghannam D D S
G Ghannam D D S is a General Practice Dentistry in Detroit, Michigan. Registered with an NPI since 2008.
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
5705 W Vernor HwyDetroit, MI 48209-2157
Phone: (313) 842-3770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X |
Record details
| NPI number | 1255508800 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ghanem Ghannam — Sole Owner · (313) 842-3770 |
| NPI enumerated | May 13, 2008 |
| Last updated in NPPES | August 29, 2024 |
| Certification date | August 29, 2024 |
| Mailing address | 5705 W Vernor Hwy, Detroit, MI 48209-2157 |
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Dr. Ghanem M. Ghannam, DDS
5705 W Vernor Hwy, Detroit, MI 48209-2157 · (313) 842-3770